ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Ten-year clinical and radiographic results of 1000 cementless Oxford unicompartmental knee replacements.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 4 of them syntheses that pooled it.
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Who cites it
34 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Cementless versus cemented unicompartmental knee arthroplasty: a systematic review of comparative studies.Musculoskeletal surgery · 2023Pooled it
- Periprosthetic joint infection in unicompartmental knee arthroplasty: treatment options and outcomes. What is the current evidence in literature?Archives of orthopaedic and trauma surgery · 2023Pooled it
- Comparable incidence of periprosthetic tibial fractures in cementless and cemented unicompartmental knee arthroplasty: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Cementless unicompartmental knee replacement achieves better ten-year clinical outcomes than cemented: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Pooled it
- A comparison of revision risk between lateral knee replacement and total knee replacement: results from the Dutch Arthroplasty Register.Acta orthopaedica · 2026Article
- Long-term outcomes of the cementless Oxford Unicompartmental Knee Replacement: a 16-year follow-up study.Bone & joint open · 2026Article
- Unicompartmental knee arthroplasty in patients with Parkinson's disease.Archives of orthopaedic and trauma surgery · 2026Article
- Article
- Novel Clinical Applications of 3D-Printed Highly Porous Titanium for Off-the-Shelf Cementless Joint Replacement Prostheses.Biomimetics (Basel, Switzerland) · 2025Article
- Surgical factors that contribute to tibial periprosthetic fracture after cementless Oxford Unicompartmental Knee Replacement: a finite element analysis.Frontiers in bioengineering and biotechnology · 2025Article
- [Successful medial unicompartmental knee arthroplasty-What are the most important surgical tricks?]Orthopadie (Heidelberg, Germany) · 2024Review
- Article
- Painful Unicompartmental Knee Arthroplasty: Etiology, Diagnosis and Management.The archives of bone and joint surgery · 2024Review
- Image-based robotic-arm assisted unicompartmental knee arthroplasty provides high survival and good-to-excellent clinical outcomes at minimum 10 years follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- [Implant-associated fracture of the tibial plateau in cementless medial unicondylar knee prosthesis : Locking plate osteosynthesis].Operative Orthopadie und Traumatologie · 2023Article
- Less pain reported 5 years after cementless compared to cemented unicompartmental knee replacement: an analysis of pain, neuropathy, and co-morbidity scores.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Article
- Predicting valgus malalignment after mobile-bearing UKA using a new method: the arithmetic HKA of the arthritic knee.Archives of orthopaedic and trauma surgery · 2023Article
- Fixed-bearing is superior to mobile-bearing in lateral unicompartmental knee replacement: a retrospective matched-pairs analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Mobile bearing versus fixed bearing medial unicompartmental knee replacement: an independent two center matched-pairs analysis.Archives of orthopaedic and trauma surgery · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeUnicompartmental knee replacement (UKR) has substantial benefits over total knee replacement (TKR) but has higher revision rates. The cementless Oxford UKR was introduced to address this but there are concerns about fixation and tibial plateau fractures. The first long-term study of the device with clinical and radiographic outcomes is reported.
methodsThe first 1000 medial cementless Oxford UKR were prospectively identified and followed up by independent physiotherapists. Survival was calculated using the endpoints reoperation, revision, revision to TKR, major revision requiring revision TKR components and patient mortality. The Oxford Knee Score (OKS), Tegner Activity Score and American Knee Society Score (AKSS) were recorded and radiographs analysed.
resultsThe ten year survival was 96.6% (CI 94.8-97.8), 97.5% (CI 95.7-98.5), 98.9% (CI 97.7-99.4) and 99.6% (CI 98.8-99.9) using reoperation, revision, revision to TKR and major revision as the endpoint, respectively. Commonest causes for revision were bearing dislocation (n = 7, 0.7%), disease progression (n = 4, 0.4%) and pain (n = 2, 0.2%). There was one lateral tibial plateau fracture and one femoral component loosening. At 10 years, the mean OKS was 41.2 (SD 9.8), Tegner 2.8 (SD 1.3), AKSS-O 89.1 (SD 13.0) and AKSS-F 80.4 (SD 14.6). There were no pathological radiolucencies or complete radiolucent lines. There were no implant-related deaths.
conclusionsThe cementless Oxford UKR is a safe procedure with excellent long-term clinical results. Our results suggest that reliable fixation was achieved with only one (0.1%) revision for loosening (femoral), no radiographic evidence of loosening in the remaining cases and no fractures related to implantation. LEVEL OF EVIDENCE: III.
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